Citation | Intervention | Study Population Total (Control/Intervention) | Follow-up & Assessment method | Outcomes |
---|---|---|---|---|
Cline et al. (Sweden) | Education on heart failure for patients and their families. Guidelines for self-management of diuretics based on signs and symptoms and instructions on when to contact the nurse. Provision of 7-day medication organizer. Nurse counselling: 2 × 30 min during hospitalization, 1 × 1 hr after discharge | N = 190 (110/80) Male: 53% Mean age: 75.6 Age range: 65–84 Mean NYHA: 2.6 | 1 year; Self-administered questionnaires, hospital records | Readmission, hospitalization days, health care costs during one year, quality of life, mortality |
Jaarsma et al. (Netherlands) | Education about consequences of heart failure and guidelines for compliance, fluid balance, recognition of warning symptoms. Counselling: Average of 4 sessions during hospitalization, 1 phone call & 1 home visit after discharge NOTE: control group received education about medication and lifestyle | N = 179 (95/84) Male: 58% Mean age: 73. NYHA III: 17% NYHA III-IV: 21%, NYHA IV: 61%. | 1, 3, 9 months; Patient interviews, questionnaires | Self-care abilities, self-care behaviour, quality of life, overall wellbeing, readmission, hospitalization days, resource utilization. |
Koelling et al. (U.S.) | Education (1 hour), provision of instructions for taking medications, weighing, dietary restrictions & symptom monitoring, including when to contact physicians | N = 223 (116/107) Male: 58% Mean age 65: Black: 22% Coronary disease 64% | 6 months; Phone call from nurse at 1, 3 and 6 months | Readmission (heart failure, cardiac and all-cause), mortality, cost of care, self-practice scores. |
Krumholz et al. (U.S.) | Education about illness, medication, early signs & symptoms, health behaviour, when to seek help. Weekly phone call for 4 weeks, biweekly for 8 weeks, monthly for the remainder of the year | N = 88 (44/44) Male: 66/48% Mean age: 71.6/75.9 White: 77/70% | 1 Year; Review of records, next of kin contact, discharge information | Readmission (heart failure, cardiovascular disease and all-cause), hospitalization days, mortality, cost of care. |
Ross et al. (U.S.) | Educational software, a messaging system enabling communication between patients and staff | N = 107 (53/54) Male: 74/80% Mean age: 55/57 College: 44/53% (v. decliners: 26%) White: 88/92% (v. 75% decliners) Household income >$45 K: 50/56% (v. 76% decliners). | 6 months, 1 Year; Mailed survey | Readmission, mortality, health status, self-efficacy, adherence to medical advice and patient satisfaction. |
Sethares & Elliot (U.S.) | Nurse-led tailored message intervention based on perceived benefits and barriers to self-care of HF. Follow-up 1 week and 1 month after discharge NOTE: Patients in the control group were given information about medication and possibly referred to nurse agencies | N = 70 (37/33) Mean Age: 76.8/75.7 Mean NYHA: 3.0 Education (years): 11/11 | 3 months; Health-measure scales | Readmission, quality of life, beliefs in benefits and barriers of treatment. |